Metabolic Health Programme

Your metabolism
runs everything.
We manage it
like it does.

The most comprehensive metabolic evaluation and management service in Israel — built to find what standard care misses, and do something about it.

Led by Prof. A. Tirosh
Tests ordered 6 assessments
Standard NEJM-grade
Metabolic Assessment Coverage
The Clinical Reality

Metabolic disease develops over a decade
before it appears.

HOMA-IR climbs silently. Insulin resistance precedes type 2 diabetes by 10–15 years. ApoB builds up in arterial walls long before a lipid panel raises flags. The standard annual blood test — a fasting glucose, total cholesterol, TSH — misses almost all of it.

Not because the system is broken. Because it was never designed to look this far ahead.

10–15
yrs
insulin resistance precedes a diabetes diagnosis in most cases
70%
of metabolic dysfunction is invisible on a standard panel
1 in 3
Israeli adults have metabolic syndrome — most are unaware
The Breeoot Metabolic Evaluation

Every angle.
Nothing left to inference.

Our metabolic assessment goes well beyond what any standard Israeli medical protocol orders. Each test is chosen because it answers a question your metabolism is already asking.

Assessment 01

Insulin & Glucose Dynamics

Fasting insulin, HOMA-IR, HbA1c, continuous glucose monitoring (CGM).

Not just where your glucose is — but how it moves.

Assessment 02

Advanced Lipidology

ApoB, Lp(a), LDL particle size and density, HDL function.

Total cholesterol is a headline. These are the story.

Assessment 03

Inflammatory Load

hs-CRP, IL-6, fibrinogen, uric acid.

Metabolic inflammation is a precursor, not a consequence. We catch it early.

Assessment 04

Body Composition

DEXA scan: visceral fat, lean muscle mass, bone density.

Weight is one number. Composition tells you what it means.

Assessment 05

Hormonal Context

Full thyroid cascade, sex hormones, cortisol, IGF-1.

Metabolism doesn't run in isolation. Hormones are the conductors.

Assessment 06

Functional Metabolic Markers

VO₂ max, grip strength, exercise response.

How your body performs under load — and what that tells us about metabolic reserve.

Ongoing Management

Assessment is the start.
Management is the work.

A one-time panel is a photograph. Breeoot builds a film — reading your metabolic trajectory over time and adjusting the protocol as your biology responds.

01

Continuous Monitoring

CGM and wearable data feeds your metabolic picture between visits. Trends flagged before they become problems.

02

Nutrition Protocol

Built from your specific biomarkers — not generic macros. Your Personal Doctor works with clinical nutrition specialists to design what your metabolism actually needs.

03

Pharmacological Options

Where indicated and appropriate, all tools in the evidence-based arsenal — including GLP-1 medications — deployed with proper oversight. Learn about our GLP-1 programme →

04

Quarterly Reassessment

Key markers re-run every quarter. Protocols adjust. The picture stays current.

Clinical Leadership

Led by Israel's foremost
metabolic physician.

Prof. Amir Tirosh, MD PhD, is Director of the Institute of Endocrinology and Metabolism at Sheba Medical Center — Israel's leading academic medical centre. His research on insulin resistance, metabolic disease progression, and GLP-1 mechanisms has been published in The New England Journal of Medicine, Nature Medicine, and The Lancet.

At Breeoot, Prof. Tirosh leads clinical standards, trains the Personal Doctor team, and provides direct oversight on complex metabolic cases. His presence is not decorative. It is structural.

Sheba Medical Center · Hebrew University · NEJM · Nature Medicine · The Lancet Schedule a Meeting
AT
Prof. Amir Tirosh
MD PhD · Co-Founder & Chief Medical Officer
Director, Endocrinology & Metabolism, Sheba
New England Journal of Medicine
Insulin resistance & type 2 diabetes progression
Nature Medicine
GLP-1 receptor agonist mechanisms
The Lancet
Metabolic syndrome & cardiovascular risk
Hebrew University of Jerusalem
Faculty of Medicine, Professor of Endocrinology
GLP-1 Medications

The most powerful metabolic tool in a generation.
With the oversight it requires.

GLP-1 receptor agonists — Ozempic, Wegovy, Mounjaro — have transformed metabolic medicine. Used correctly, they are extraordinary. Used without structured oversight, they lead to muscle loss, nutritional deficiencies, and rebound. Breeoot's GLP-1 programme provides the clinical infrastructure these medications require.

Explore our dedicated GLP-1 programme →
Get Started

Start with your
metabolic baseline.

A 30-minute call to understand your current metabolic picture, what the gaps are, and whether Breeoot is the right fit. No obligation.

Schedule a Meeting